Download BDS Ist YEAR EXAMINATION 2008-09

Supplementary MBBS III (Third) Professional Part-1
Examination 2013-14
Course Code:MBS303
Paper ID: S313129
ENT
Time: 2 Hours 40 Minutes
Max Marks: 30
Note: Attempt all questions. Draw proper diagrams to support
your answer.
Part ‘B’
1.
What are nasal polyps? Describe their pathology and
treatment.
(5)
2.
What are the indications of tonsillectomy? Describe the
steps of tonsillectomy.
(5)
3.
a)
b)
Write short notes on the following:
Vocal nodules
Rhinoscleroma
(2)
(3)
Part ‘C’
1.
What is Otosclerosis? Describe the pathology and treatment
of otosclerosis.
(8)
2.
a)
b)
Write short notes on:
Griesinger’s sign
Tracheostomy
(3)
(4)
Supplementary MBBS III (Third) Professional Part-1 Examination 2013-14
Roll No.
Student’s Name
Student’s Signature
Invigilator’s Signature
Course Code:MBS303
Paper ID: S313129
ENT
Part ‘A’
Time: 20 Minutes
Max Marks: 10
Note: 1. Attempt all questions and return this part of the question paper to the invigilator after 20 Minutes.
2. Please tick (√) correct one only. Cutting, overwriting or any other marking are not allowed.
3. For answering please use Ball- pen only.
Q.1
The patient gives history of paroxysmal sneezing,
watery nasal discharge, itching in nose and eyes
and nasal blockage on exposure to dust. The most
probable diagnosis and treatment is:
a)
Allergic rhinitis with local steroids
b)
Acute rhinitis with systemic antibiotics
c)
Vasomotor rhinitis with local steroids
d)
Allergic rhinitis with antiallergics
Q.2
Patient gives the history of nasal blockage and
bad odor from nose. On examination it is found
that his nasal cavities are roomy and full of crusts.
The treatment of this is:
a)
Alkaline nasal douching and 25%
gulucose in glycerine
b)
Young’s Operation
c)
Estradiol
d)
All of the above
Q.3
A 25 year old patient gives the history of
prolonged bilateral nasal blockage. On
examination we find a pale fleshy mass which
does not bleed on touch. The probable diagnosis
is:
a)
Rhinosporidiosis b)
Nasal polyp
c)
Rhinosclerosis d)
Angiofibroma
Q.4
The 20 year old patient gives history of severe
pain in left ear since last 3 days and 1010 F fever.
On examination it is found that tympanic
membrane is congested and bulging. The most
probable diagnosis and its treatment is:
a)
Acute otitis media, systemic antibiotics
and drainage by myringotomy if pain and
fever continue
b)
c)
d)
Acute otitis media, local antibiotics and
drainage by myringotomy if pain and
fever continue
Acute otitis media, analgesics and
drainage by myringotomy if pain and
fever continue
Acute otitis externa, mixed anti-fungal
and antibiotic ear drops
Q.5
The patient complaints of vertigo, nausea and
vometing on travelling on a ship. On performing
Dix-Hallpike Maneuver he has no vertigo and
nystagmus. Other tests of balance performed later
are also normal. This patient can be best treated
by:
a)
Cinnarizine/Scopolamine/ Dimenhydrate /
Meclizine
b)
Cinnarizine/Scopolamine/ Dimenhydrate /
Betahistidine
c)
Cinnarizine/Scopolamine/ Dimenhydrate /
Metaclopramide
d)
Cinnarizine/Scopolamine/ Dimenhydrate /
Cisapride
Q.6
A patient has acute pain in left ear. On
examination the pinna is warm and shows
tenderness while the external auditory canal and
tympanic membrane are normal. The most
probable diagnosis and treatment is:
a)
Acute otitis media with analgesics
b)
Acute otitis externa with antibiotic ear
drops
c)
Impacted wax with organic solvents
d)
Perichondritis of pinna with ceftazidime
and analgesics
P.T.O.
Q.7
Q.8
Q.9
Q.10
Cricothyroid muscle is supplied by:
a)
Superior laryngeal nerve
b)
Recurrent laryngeal nerve
c)
Both of the above
d)
None of the above
A 70 year old patient presents with right sided
lower motor neuron facial nerve palsy, medial
squint in right eye and hemiparasis. The most
probable diagnosis is:
a)
Midbrain space occupying lesion
b)
Pons space occupying lesion
c)
Internal Capsule space occupying lesion
d)
Cerebellar space occupying lesion
A 6 year child presents with severe dyspnoea and
cyanosis. The diagnosis could be all except::
a)
Epiglottitis
b)
Foreign body in airway
c)
Acute Bronchiolitis
d)
Laryngomalacia
Indications of septoplasty are all except:
a)
Deviated nasal septum without nasal
blockage
b)
Deviated nasal septum with nasal
blockage
c)
Deviated nasal septum with anterior
ethmoidal syndrome
d)
Deviated nasal septum with rhinosinusitis
Q.11
All of the fallowing are the causes of tinnitus
except:
a)
Wax
b)
Palatal myoclonus
c)
Temporal lobe epilepsy
d)
None
Q.12
Which of the fallowing arteries supply Little’s
Area except:
a)
Anterior ethmoidal artery
b)
Superior labial artery
c)
Posterior ethmoidal artery
d)
Sphenopalatine artery
Q.13
Commonest malignancy of larynx is:
a)
Squamous cell carcinoma
b)
Adenocarcinoma
c)
Spindle cell tumor
d)
Lymhposarcoma
Q.14
Fallowing strap muscles are the depressors of
larynx except:
a)
b)
c)
d)
Sternothyroid
Sternohyoid
Cricothyroid
Omohoiyd
Q.15
What is the function of saliva:
a)
Lubrication of food
b)
Bacteriostatic
c)
Carbohydrate digestion
d)
All of the above
Q.16
The terminal branches of the facial nerve are:
a)
Temporal,
Zygomatic,
Buccal,
Mandibular, Cervical
b)
Temporal, temporo-zygomatic, Buccal,
Mandibular, Cervical
c)
Temporal,
Zygomatic,
Buccal,
Mandibular, Cervico-facial
d)
Temporal,
Zygomatic,
Buccal,
Mandibulo-cervical
Q.17
Structures related to in the lateral wall of sphenoid
sinus are:
a)
Occulomotor nerve
b)
Trochlear nerve
c)
Abducent nerve
d)
All of the above
Q.18
All of
except:
a)
b)
c)
d)
the fallowing can cause exophthalmos
Fungal rhinosinusitis
Atrophic rhinitis
Frontal mucocele
Bacterial rhinosinusitis
Q.19
Basic steps of endoscopic sinus surgery are best
described as:
a)
Infundibulotomy

anterior
ethmoidectomy

Frontal
sinus
clearance middle meatal antrostomy
posterior ethmoidectomy
b)
Frontal sinus clearance  anterior
ethmoidectomy  middle meatal
antrostomy posterior ethmoi-dectomy
c)
Anterior ethmoidectomy  middle
meatal
antrostomy
posterior
ethmoidectomy Frontal sinus clearance
d)
Frontal sinus clearance  middle meatal
antrostomy  posterior ethmoidectomy
Q.20
Structures included in the Waldeyer’s Ring are all
accept:
a)
Adenoids
b)
Lingual tonsils
c)
Tubal tonsils
d)
Pre-auricular lymph nodes